Provider Demographics
NPI:1316553944
Name:LA ESPERANZA COMMUNITY MENTAL HEALTH INC
Entity Type:Organization
Organization Name:LA ESPERANZA COMMUNITY MENTAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YUSILY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-612-2328
Mailing Address - Street 1:5450 SW 8TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2200
Mailing Address - Country:US
Mailing Address - Phone:786-612-2328
Mailing Address - Fax:
Practice Address - Street 1:5450 SW 8TH ST STE 204
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2200
Practice Address - Country:US
Practice Address - Phone:786-612-2328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health